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Sentara Martha Jefferson Hospital: what a joint replacement costs

Charlottesville, VA 22911 · CMS Certification Number 490077. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.

Surgery center nearby
$8,552
Soaring Surgery Center, same ZIP
Outpatient here
$11,196
372 Medicare cases, APC 5115
Inpatient here
$13,484
22 Medicare stays, MS-DRG 470

Medicare prices at Sentara Martha Jefferson Hospital

OperationInpatient paidList priceList ÷ paidOutpatient allowed
Hip or knee replacement$13,484$41,1783.1×$11,196
Shoulder replacement———$15,787
Hip replacement after a fracture (DRG 522)$13,529$49,2593.6×—

Quality

Complications after hip or knee replacement: 4.9% (no different from the national rate). Readmissions: 5.9%. Overall Care Compare rating: 4 of 5 stars. Nonprofit · Acute · 176 beds

Virginia requires a certificate of need for new surgery centers.

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Questions

How much does Medicare pay Sentara Martha Jefferson Hospital for a knee or hip replacement?

In 2024 Medicare paid Sentara Martha Jefferson Hospital an average of $13,484 per inpatient hip or knee replacement stay (MS-DRG 470, 22 stays) and $11,196 per outpatient case (APC 5115, 372 cases).

What is Sentara Martha Jefferson Hospital's list price for a joint replacement?

The hospital's average list (chargemaster) price for an inpatient hip or knee replacement was $41,178, 3.1× what Medicare paid. Almost nobody pays the list price; it matters for uninsured bills and percent-of-charge contracts.

Is a knee replacement cheaper at a surgery center near Sentara Martha Jefferson Hospital?

Yes for Medicare facility payments. Soaring Surgery Center, an orthopedic surgery center same ZIP away, is paid about $8,552 by Medicare for a knee replacement (CPT 27447), $4,932 less than an inpatient stay at Sentara Martha Jefferson Hospital. Not every patient is a surgery-center candidate.

How does Sentara Martha Jefferson Hospital compare with other Virginia hospitals?

Medicare paid Sentara Martha Jefferson Hospital less than 82% of the 34 Virginia hospitals that report inpatient hip or knee replacement.